Billing and Claims

Revenue integrity experts discussed the potential impact of the MPFS and OPPS proposed rules, 42 CFR Part 2 compliance, and more.Read More »

CMS’ 2019 OPPS proposed rule continues the agency’s efforts to enforce site-neutral payments and reduce drug payments by introducing policies to...Read More »

Q: How do you report observation hours prior to an inpatient admission? Or do you report these?Read More »

Without the guidance and expertise of compliance, revenue can’t be considered truly accurate and audit-proof. By using a compliance work plan to...Read More »

The 2019 Medicare Physician Fee Schedule (MPFS) proposed rule, released July 12, introduces policies that focus on expanding the framework for...Read More »

Experts share tips on setting up compliant clinical research processes.Read More »

Adapt to the unique revenue integrity challenges facing pediatric facilities.Read More »

Learn how revenue integrity is branching out in physician practices.Read More »

Unpack the revenue integrity implications of the 2019 IPPS proposed rule.Read More »

Q: In a condition code 44 scenario, may we report and bill for observation hours (revenue code 762) prior to the order for observation?Read More »